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January 2018
Decrease Your Risk of Developing Dementia
Elizabeth Rhynold MD FRCPC, Geriatrician, Prairie Mountain Health
     Many people worry they will develop dementia when they get older.  This is not surprising since increasing age remains the strongest risk factor for developing dementia.  Despite intense media coverage describing the predicted increase in the number of people living with dementia in Canada and the World, there was an optimistic theme to the 9th Canadian Conference on Dementia (CCD) held in Toronto, November 2017.
     Dementia is a term used to describe changes in thinking that get worse over time and start to impact functional independence.  To date, research into treatments to heal the brain after dementia symptoms are present have been disappointing.  Many studies are now focusing on treatments to be used before symptoms develop.  It will likely be some years before these treatments are available.
     But the news is not all grim. The increase in the total number of people with dementia is not due to a higher risk of developing dementia than in past generations.  Instead, it is the result of the increasing number of people expected to live into old age, including the Baby Boomers born 1946 – 1964. 
     Overall, it is estimated that approximately 30% of our individual risk of dementia is from the genetic risk factors we were born with (Cassidy, 9th CCD Plenary Session, 2017).  Instead of dwelling on this, it is important to focus on the 30% of dementia (Alzheimer’s) cases that could potentially be prevented by early prevention strategies (Norton Lancet Neurology 2014; 13(8):788-94).
     Dr. Keri-Leigh Cassidy, Associate Professor of Geriatric Psychiatry at Dalhousie University, provided the audience in Toronto with the tools to make those early prevention strategies a reality.  She described the Fountain of Health Initiative which is the Canadian collaboration behind the fountainofhealth.ca website.  This is not a website for people with dementia.  This is a website for adults of all ages who are motivated to do everything they can to keep their brains healthy so they can enjoy life at 80, 90 and 100.This is an entirely free resource with no commercial interests.  The homepage guides viewers to a video, a description of 5 areas in which individuals can target their efforts to decrease their risk of dementia and a quiz to help identify areas that might have the biggest impact.  These target areas include positive thinking, social activity, physical activity, brain challenge and mental health.  The Fountain of Health website contains a downloadable Handbook and a Goal Setting Worksheet under the Resources tab.  There is also a section, called “Clinicians’ Corner” for people working in health and wellness sectors containing downloadable documents.  All of these resources are supported by an extensive base of evidence that is shared under the Resources tab in a section called Evidence Base.
The Fountain of Health Initiative can help each one of us decrease our individual risk of developing dementia.They sum it up well, “Do it for your family.  Do it for your community.  Do it for yourself.” 
     Dr. Rhynold is an Geriatrician for the Prairie Mountain Health region.  She is a medical doctor who specialized in Internal Medicine during residency and then did extra training focusing on older adults.  Dr. Rhynold meets patients, either in person or by Telehealth, who have been referred by another doctor or a nurse practitioner.  She does not provide day to day care, but instead, will do a detailed assessment and provides suggestions to the referring doctor or nurse practitioner.

 
     The Alzheimer Society of Manitoba provides information, support, education and advocacy for people with dementia, their caregivers and the public. Visit alzheimer.mb.ca  to read more about the programs and services available to Manitobans impacted by dementia.
     For more information visit:
Brain Booster Activities
Brain Health
Ten Warning Signs of Dementia
     If you are worried or have questions, contact the Alzheimer Society of Manitoba and your primary care practitioner. 
     For more information on Regional Services contact:
Julie Hockley, Senior Manager, Regional Services
Alzheimer Society of Manitoba, Westman – Brandon
Unit 4B -457 9th Street      R7A 1K2
Tel:  204-729-8320, ext. 201
Fax:  204-726-1082

Email:  jhockley@alzheimer.mb.ca

Physician Recruitment and Retention Efforts Show More Results in PMH
  
      Prairie Mountain Health (PMH) continues to work together with its communities in ongoing physician recruitment and retention efforts. This past fall, PMH and Manitoba Health, Seniors and Active Living highlighted recent successes in recruiting over 20 new primary care physicians to the region (details in Health Plus Sept. 2017 edition).
     As we look ahead to the first part of the New Year, the community of Winnipegosis and surrounding area is excited by the arrival of Dr. Alison Carleton from the United States. Dr. Carleton has chosen to relocate to Canada after a 23-year general practitioner career in Nevada, Iowa. Nevada, Iowa (pop. 6,700) is near Des Moines. She has worked in a large rural acute care hospital, long term care and had her own medical clinic in the community.
     Winnipegosis Health Centre Executive Director Michelle Quenelle welcomes Dr. Carleton to the region. She thanked Prairie Mountain Health for their collaborative efforts in assisting Dr. Carleton, and her partner, to relocate to rural Manitoba.
      "This is actually an amazing story. Dr. Carleton and her partner chose Winnipegosis after touring Manitoba this past summer. We always promote both workplace and work-life balance when recruiting to our rural region and in this case it was an outstanding fit. The community and surrounding area will provide her with a great opportunity to continue her primary physician care practice, as well, appeal to her love of canoeing, hiking and gardening," Quennelle stated.
     Dr. Carleton began accepting new patients at the Winnipegosis Medical Clinic on January 8, 2018. Winnipegosis has been without a physician since Dr. Amal Sidarous left in the spring of 2015.
     PMH also has other recruitment updates to share. The community of Roblin will see a new physician start practice in March 2018. Dr. Airidulu Orukpe has completed the International Medical Graduate (IMG) Medical Licensure Program and her addition will bring the physician complement in Roblin up to three.
     In Shoal Lake, Dr. Ade Aromolaran started providing general practitioner services at Shoal Lake/Strathclair Health Centre in early November 2017. He also participates in the Emergency Department on-call rotation at Hamiota Health Centre.
     In terms of specialist services, two new general surgeons have started—one in Brandon—Dr. Jeniva Donaleshen and one in Dauphin—Dr. Ivan Blazic.
     Prairie Mountain Health is continually recruiting new physicians to the region. Physician opportunities can be found on the PMH website

DRHC Project Enters New Stage
     The Dauphin Regional Health Centre (DRHC) Redevelopment Project moved right along in December 2017 with the demolition of the ambulance bay area as well as the former Emergency Department interior. Cement pile work in the construction zone began in mid-December and was completed early in the New Year. Exterior work for the third phase of the project will continue in early 2018 and structural steel work is anticipated to begin in the spring. The most updated schedule anticipates that completion of the third phase of the new Emergency Department/Special Care Unit and ambulance area is set for late 2018/early 2019.

Canada Sets No-Smoking Goals
 

     The federal government has committed to reducing tobacco use among Canadians to less than 5 per cent by 2035, saying that "preventing a new generation of smokers is a priority."
     "This is a pressing public health matter – there's no question about it," Dr. Jane Philpott, federal health minister, has said. She promises that the government is prepared to take an aggressive approach to meet the ambitious target.
     According to Health Canada, 4.6 million Canadians (about 13 per cent) currently use tobacco, with 115,000 picking up the habit in 2015 alone. Smoking rates among youth and young adults haven't changed since 2013 – a major concern considering that more than 80 per cent of current smokers had their first cigarette by the age of 18. A Canadian dies from a smoking-related illness every 14 minutes. The government forecasts that if tobacco use continues on its current course, smoking rates will dip to 9 per cent by 2036.

PMH Staff Receive Exemplary Service Awards from The Governor General

   Prairie Mountain Health was pleased to nominate four members of our Emergency Medical Services (EMS) team for the Governor General’s Exemplary Service Medal; Donna Dagg, Laurence Klassen, Sharon McLeod and Mike Wiens. Below is a brief excerpt from each of their nominations.
     The Medal, created in July 1994, recognizes professionals in the provision of pre-hospital emergency medical services to the public, who have performed their duties in an exemplary manner, characterized by good conduct, industry and efficiency. Award recipients must have been employed with emergency medical services and have completed 20 years of exemplary service, including at least 10 years in the performance of duties involving potential risk.

      Donna Dagg – "Donna became a Red Cross First Aid and CPR instructor early in her career and continues to teach courses to school children and local organizations including the fire department at no charge. She feels that it is simply a part of her professional responsibility to promote prevention and preparedness education. Her great sense of humour and ability to take charge of a situation have calmed the nerves of many partners and patients alike. She is respected by her peers and colleagues as well as remembered fondly by many of her patients."
     Laurence Klassen – "Laurence remains an exceptionally humble individual. He is very approachable, and non-judgmental, building trust easily, a real "man of integrity". He is positioned as a role model for the EMS code of ethics, demonstrating unknowingly, through his day-to-day interactions with young medics he interacts with. His character allows him to easily be partnered with anyone he may slide into the cab with. He is also the one that, through his experience, recognizes when a "check-in" is needed with peers following a particularly bad EMS call."
     Sharon McLeod – "Whenever there is a request for involvement in an EMS public event, Sharon will jump at the opportunity to get involved. She’s a frequent participant in the annual Farm Safety Day Camps, EMS tours at schools, Operation Christmas Child and Wellness days. Her journey through EMS has provided her with many opportunities to pass along whatever information she can to help less experienced partners be prepared for unexpected situations along the way. Sharon has a passion for taking care of not only her patients, but her partners as well."
     Mike Wiens – "Mike continues to help with the development and delivery of regional training programs including the continuing education program and regional EMS website. He has helped to mentor many new medics and give assistance to those in need of extra training support. Mike is respected by his peers and demonstrates a professional image both on and off the job. Following in the footsteps of his Grandfather and Grandmother in providing quality patient care, he passes on his experience to others who follow."

Congratulations to all of you for receiving your 20-year Exemplary Service Medal.

Pictured L - R: Laurence Klassen, Donna Dagg, Louise Stitt (EMS Regional Manager), Sharon McLeod and Mike Wiens.

There is an easy way for you and your family to find a Family Doctor or Nurse Practitioner with Manitoba’s Family Doctor Finder Program.

 

Simply call or register online and the Family Doctor Finder will help connect you with a health-care professional in your area that best meets your needs.

For more information or to register with the Family Doctor Finder:

Phone: Toll-free: 1-866-690-8260 or visit their website.

Dauphin Hospital Foundation Looks Back At Successful 2017
 
     The Dauphin Hospital Foundation is pleased to look back at accomplishments that have come as a result of significant contributions throughout the past year. Donations to projects and various causes via the Foundation in 2017 totalled over $74,000.
     A $50,000 combined contribution from both the Foundation and Dauphin Ladies Auxiliary, went towards the purchase of a state-of-the-art Apollo Pre-Hospital Patient Simulator for Dauphin Regional Health Centre (DRHC).  Foundation Chairman Doug Deans says the simulator will soon be in use at DRHC.
     “We were approached by Dr. Scott Kish, via the Parkland Family Medicine Residency Unit, and he convinced us of the many benefits of utilizing the patient training mannequin. It was a big commitment, but both the Foundation and Auxilians recognize the importance of ongoing training and education for our health care staff and physicians,” Deans said.
     Deans says the Foundation also plans to further contribute through the Delha Cort Educational Trust Fund, which is administered by senior management at the DRHC.  Hospital employees can request access to enhance their education and skill-set.  DRHC staff should contact their supervisor to see how the fund can fit with their future professional development or career plans.
     Looking ahead to 2018, Deans says some other exciting projects are in the works, including contributions that will go towards a refresh of the Palliative Care Unit at the DRHC. More information on that project and others will be released in early 2018.
     The Board thanks all of the individuals, families, groups and organizations that have not only donated to the Foundation in 2017, but in past years as well.  For more information about donating to the Foundation, or how a planned gift or bequest can be made through an estate, please contact the hospital at (204) 638-3010.

 

Donations Made via Dauphin Hospital Foundation
(April 1- November 30, 2017)
 

  • Apollo Patient Simulator                                  $50,000
  • Palliative Care (yearly TV network)                 $5,953
  • Palliative Care Unit (new blinds)                     $5,200
  • Mefusion syringe pump (operating room)       $5,640
  • NIB monitor (Cancer Care Program)              $3,500
  • Dauphin PCH Courtyard                                 $2,034
  • DRCSS Annual Academic Scholarship          $1,000
  • DRHC Maternity Rocker Chair                       $720
           TOTAL                                                            $74,047

$5,000 Donation For The Dauphin Hospital Foundation

     The Dauphin Hospital Foundation was pleased to receive a $5,000 donation on December 20, from the Dauphin Ukrainian Orthodox Young Men’s Society.
     The $5,000 donation was made to the Dauphin Regional Health Centre (DRHC) Palliative Care Redevelopment Project. The Project calls for an enhanced and more comfortable Palliative Care Unit environment -which will see repairs to the four individual patient rooms and family room. There is also a plan to replace existing furniture and purchase new Television sets. The project will proceed in various stages. The Young Men’s Society raised the money thanks to their bingo nights at Dauphin’s 8th Avenue Hall.

Pictured in front are DRHC managers Jean-Ann Fisher and Rebecca Kutcher who accepted the $5,000 cheque on behalf of the Foundation.

Swan Valley Primary Care Centre
Advanced Care Clinic

Started January 8, 2018     Every Monday 4pm-7pm

The Primary Care Centre is offering an Advanced Care Clinic to offer medical care outside of usual clinic hours for health concerns such as:
  • Ear infections   
  • High fevers                        
  • Respiratory problems    
  • Bronchitis          
  • Sore throat         
  • Strep throat      
  • Allergic reactions            
  • Rashes
  • Bladder infections                          
  • Colds/Flu
  • Strains     
  • Sprains                               
  • Puncture wounds            
  • Lacerations                        
  • Insect bites
  • Pink eye              
  • Minor burns                      
May I use Advanced Care Clinic for routine care?
No. These services are designed for urgent problems where people may have typically sought care through the emergency department after clinic hours. Physical exams, check-ups and other routine care should be scheduled with your primary care physician.
If you present for care that can be addressed through routine physician or nurse practitioner visits, you will be asked to schedule a regular appointment.
If you do not have a primary care physician, please contact the clinic to make arrangements to sign up with one of the health care providers accepting new patients.

Do I have to be a SVPCC patient to access care?
Definitely not. The SVPCC Advanced Care clinic is open to anyone who is requiring urgent care. Please bring the appropriate health information when you present to the administration.

Do I need an appointment?
No scheduled appointments will be made for the Advanced Care Clinic.  A physician and a Nurse practitioner will be available from 4 pm – 7pm. When you arrive at the clinic you will receive a number. Once the numbers have been given out, there are no further Advanced Access appointments available that evening.

 
National Weedless Wednesday – Give it a Try!
     National Weedless Wednesday is January 24, 2018. This day falls mid-week during National Non-Smoking Week an annual event that has been celebrated since 1977. The week aims to:
  • Educate Canadians about the dangers of smoking;
  • Prevent people who do not smoke from beginning to smoke and becoming addicted to tobacco;
  • Help people quit smoking;
  • Promote the right of individuals to breathe air unpolluted by tobacco smoke;
  • Denormalize the tobacco industry, tobacco industry marketing practices, tobacco products, and tobacco use; and
  • Assist in the attainment of a smoke-free society in Canada
     On Weedless Wednesday we challenge people to go smoke free. Quitting or reducing smoking can be challenging. Did you know there is someone who can help? Prairie Mountain Health has a Certified Tobacco Educator who is there to help people thinking about reducing tobacco use. Cutting back or reducing smoking can be a great way to improve your health for 2018!
For a free appointment at the Tobacco Dependence Clinic at the Brandon Regional Health Centre:
Call 204-578-4207.


Five Quick Tips to Cut Back on Smoking
  1. Use a Nicotine Replacement Therapy (Double your chance of quitting). The Tobacco Dependence Clinic may be able to help you with Nicotine Replacement Therapy (NRT) like the NRT patch and NRT gum
  2. Use a brand of cigarettes you don’t like
  3. Practice the 4 D’s of smoking cessation.
  • Drink Water
  • Distract- Plan 3-7 minute activities you can do if cravings hit
  • Delay- Can you wait 5 more minutes
  • Deep Breathing
  1. Ask your healthcare provider about medication options.
  2. Go online for support from great websites like the Canadian Cancer Society
Or call the Free Smoker’s Helpline at 1-877-513-5333 or visit the Smokers Helpline website.
 
Quitting smoking may be something that takes practice. Using a quit aid like Nicotine Replacement Therapy or visiting our trained Certified Tobacco Educator may increase your chances. Keep trying!
 

Go here to learn more about the health impacts of tobacco.

Copyright © 2018 Prairie Mountain Health, All rights reserved.


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